Yau Shamsudeen, Wongsawat Pramote, Songthap Archin
Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok 65000, Thailand.
Eur J Investig Health Psychol Educ. 2020 Mar 1;10(1):497-510. doi: 10.3390/ejihpe10010036.
Premarital Sexual Practice (PSP) among adolescents usually involves sexually risky behaviors, such as multiple sexual partners and inconsistent or non-condom use. These behaviors, in combination with other underlining factors, undermine the overall outcomes of Adolescent Sexual and Reproductive Health (ASRH). To assess the adolescents' knowledge, attitudes and perception of risk and preventive behaviors towards PSP, a school-based analytical cross-sectional study was conducted among a sample of 423 students aged 15 through 19 years. A well-validated anonymous self-administered questionnaire was used for collecting the data, which were analyzed using mean (SD), frequency (%), t-test, ANOVA and multiple regression methods. Participants' knowledge of risk and preventive behaviors was average, as only 53% of knowledge items were correctly answered. Being a female, of high-income status, in the second study year, perceived susceptibility and perceived severity were significant determinants of knowledge. All measures of perception except perceived self-efficacy were positive determinants of attitude. Being female, in the third study year and of high-income status were determinants of perception as measured by perceived self-efficacy. Therefore, our results suggest that tailored educational programs, with special emphasis on financially disadvantaged male adolescents, are needed to effectively increase adolescents' knowledge, attitude and perception of risk and protective behaviors towards PSP.
青少年婚前性行为（PSP）通常涉及性风险行为，如多个性伴侣以及不坚持使用或不使用避孕套。这些行为，再加上其他潜在因素，会损害青少年性与生殖健康（ASRH）的整体成果。为了评估青少年对婚前性行为的知识、态度以及对风险和预防行为的认知，对423名年龄在15至19岁的学生样本开展了一项基于学校的分析性横断面研究。使用经过充分验证的匿名自填问卷收集数据，并采用均值（标准差）、频率（%）、t检验、方差分析和多元回归方法进行分析。参与者对风险和预防行为的知识水平一般，只有53%的知识问题回答正确。女性、高收入状况、处于研究的第二年，感知易感性和感知严重性是知识的重要决定因素。除了感知自我效能感外，所有感知指标都是态度的积极决定因素。女性、处于研究的第三年和高收入状况是由感知自我效能感衡量的感知的决定因素。因此，我们的结果表明，需要制定有针对性的教育计划，特别关注经济上处于不利地位的男性青少年，以有效提高青少年对婚前性行为的风险和保护行为的知识、态度和认知。
